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What causes weak orgasm and low libido?

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HIV AIDS Specialist
Practicing since : 1974
Answered : 2718 Questions
I been having weak orgasm problem for more than 2 years now. I been to 3 different urologists and they all don't know what's wrong with me. Whenever I masturbate and have an orgasm, the orgasm isn't strong anymore and does not bring me that much pleasure. Also, my orgasms don't last that long and are not intense like they used to be. I been feeling really sad and sexually frustrated about this for the past year because it is a chronic condition that would not go away on its own. At the same time my weak orgasm problem arise, I also began experiencing urinary symptoms. Every time I urinate, only a little bit comes out. And the urinary stream seems weak and only comes out a little bit. I remember before I had this problem, my urinary stream was normal and it came out a lot at once. But now every time I urinate, it only comes out a little bit. For my urinary stream to come out a lot, I have to hold in my pee for a while and wait for it to come out a lot. But if I urinate every time I feel like it, it only comes out a little bit. I believe my weak orgasm problem and my urinary problem are connected to each other because I started experiencing both those problems at the same time. I been to 3 urologists and they do not know what's wrong. The reason I have these problems are because I think it has to do with me having anal sex. I remember the night I had anal, my partner did it really rough and I got injured and now I think that is why my orgasms are weaker, shorter, and less pleasurable and my urinary flow only comes out a little bit. What do you think I might have damaged from doing anal that caused my orgasms to become weaker? My prostate? Or sphincter muscles? I really need an answer and a cure right now, please help me. I cannot live with this problem anymore.
Posted Tue, 4 Mar 2014 in Sexual Problems
Answered by Dr. S. Murugan 3 hours later
Brief Answer: Few days abstinence and Kegel exercise help you Detailed Answer: Hi, Welcome to HCM. Thanks for posting your query. First of all don't get depressed. The feeling of frustration would worsen the libido, and thereby the erections also. You are just 22 years, no history of Diabetes or drug abuse. Then there is no question of sexual weakness for you. 1. Your erection will not be there hereafter like that of your teenage with regards to the hardness, duration and frequency of erection. 2. Without an urge if you do masturbation then the orgasm will not be a full fledged one. If you are worrying for this your further erections also will also become weak. I don't feel it has any relation to your prostate or sphincter muscles. Regarding your anal sex it is not clear whether you are a recipient or a penetrative. Regarding the urinary flow further investigations by an urologist will fix the problem. You just relax for sometime (15 days) without sex (Abstinence). There is a pelvic floor exercise called as Kegel"s exercise (Refer to on line )and this will help you to strengthen the muscles and thereby your erection power, orgasm and your urinary flow. Nothing to worry. You will be alright. Dr S XXXXXXX
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Follow-up: What causes weak orgasm and low libido? 21 hours later
I am frustrated because i cannot feel any sexual release after i have an orgasm. my orgasm is just not good as it used to be. Back then, my orgasm felt really good and I felt pleasurable. Now after I did anal sex, my orgasm changed and now when I orgasm it just feels like a "sneeze" with a slight relief and that's it. And I was the recipient for anal. I notice my orgasm problem is correlated to my urinary problem. It probably has to do with my prostate. Do you think I have damaged the nerves on my prostate? Prostate is a gland responsible for the feeling of orgasm right? Or is that my sphincter muscles? Also, I do have an urge whenever I do masturbation. I have strong urges but every time I orgasm, it just don't feel the same anymore. Also, I think my sphincter muscles got really weak from having anal because every time I have a bowel movement, most or all of the feces come out at once after just one push. Could that be related to my weak orgasm? (because of the sphincter muscle got weaker?" I really need to find an answer and cure.
Answered by Dr. S. Murugan 2 hours later
Brief Answer: Orgasm is sinchronized action of multiple sysytem Detailed Answer: Hi, Welcome back. 1.If you have any guilty complex about anal sex or fear for HIV/STD, you can not get a real orgasm. 2. As a recipient of anal sex, anus is not designed for sex, you can have some pleasure but not a real orgasm. 3. Prostate is an accessory sex gland and its secretion carries the sperms safely into the vagina and acts as a safe vehicle to carry the same. 4.Orgasm is a complex and synchronized multiple actions of various organs including your heart, lungs, muscle of thigh, pelvic floor and prostate gland, seminal vesicles and the vas deferens etc. 5. During masturbation try to imagine a good buddy you like and have a fascinating ideas and do masturbation. You just relax, abstain from sex for a month or so and do pelvic floor exercise and you will regain your pleasurable orgasm once again. In the meantime you can consult a sexologist or psychiatrist for further help. Dr S.Murugan
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Follow-up: What causes weak orgasm and low libido? 6 hours later
You don't understand me. My orgasm are a lot weaker than before, and it is because I did anal sex. My orgasm used to be strong and I could feel the amazing throbbing feeling. But after I did anal, I don't get the amazing throbbing feeling anymore when I orgasm. It is just a weak sneeze now. Also, I like women too. Every time I have sex with a woman and I reach orgasm, the orgasm doesn't feel the same. It feels really weak and doesn't allow me to feel that much pleasure. I think I may have damaged the organs that are responsible for strong orgasms because I had anal. I may have damaged my prostate, sphincter muscles, the muscles in my penis, etc. Please you have to help me find a cure, I don't want to live with this problem anymore. All the urologists I went to cannot find the diagnosis either. My prostate is a little bit enlarged from the last urologist visit. Can an enlarged prostate decrease the sensation of orgasm?? What possible causes/diagnoses can decrease the sensation of orgasm? Also, the kegel exercises you told me about, would that cure my weak orgasm for good? Do i have to keep doing kegal exercises to maintain strong orgasms?
Answered by Dr. S. Murugan 3 hours later
Brief Answer: Damage to organs -anal sex not responsible Detailed Answer: Hi, Welcome once again. I can able to understand your feelings and concern. But anal sex would not damage prostate or your muscles of penis. If any damage to muscle of penis happened, you would have other symptoms like swollen and tender penis without any total erection and you had to rush to hospital as an emergency. Repeated anal sex can weaken the anal sphincter,but that will no way have any relation to your weak orgasm. Orgasm is neurogenic. It is a feeling. It originates and ends by your sensation and feeling and not mediated through any other organ other than you brain. If you have depression or unpleasant experience you may have weak or absent orgasm called as anorgasmic. You may need a psycho-sexual counselling to regain your full fledged orgasm back. So you could consult a sex counselor Kegel's exercise will strengthen the pelvic floor and thereby improve the orgasm. You are just 22 years. You will regain your full orgasm. Dr S.Murugan
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